You should respond to your peers by extending, refuting/correcting, or adding additional nuance to their posts.
Reference MUST be scholarly published in the last 5 years
Peer response below:
Evidence-Based Practice as a Problem-Solving Approach
What are your thoughts about this model and its relevance to your practice?
In my practice as a family nurse practitioner in a primary care context, the evidence-based practice (EBP) approach shown in Figure 1.1 is quite pertinent. Within a supportive setting that promotes the best possible patient care, Schmidt and Brown (2024) state that this model captures the triangle of research data, clinical experience, and patient preferences. Improved patient outcomes result from the more knowledgeable and sophisticated clinical decision-making made possible in my practice by integrating these three components. For example, using the strongest data from carefully planned research projects guarantees that the therapies and interventions I offer are based on the newest and most successful methods. My therapeutic experience allows me to customize these therapies to the particular needs and circumstances of each patient, as it involves a comprehensive evaluation of their past and present state. Drawing from Gonzalez Sepulveda et al.’s (2023) recommendations, including the preferences and values of the patient, guarantees that the care given is efficient and aligns with their priorities, which increases their satisfaction and adherence to treatment programs.
Insufficient understanding, lack of support, and organizational politics are some of the obstacles hindering the uniform application of EBP that the book lists. These are issues I have seen in my professional endeavors. For EBP to be adopted successfully, several obstacles must be removed. To begin with, Dusin et al. (2023) suggests that by creating an environment that fosters EBP, offering continuous education, and having a critical mass of EBP mentors, healthcare organizations can enhance the implementation process. Promoting these facilitators can, in my experience, result in a stronger EBP environment and, in turn, better, safer, and more economical care. Adopting EBP not only supports the quadruple goal of healthcare, namely greater patient outcomes, better population health, reduced costs, and increased clinician satisfaction, but it also strengthens my resolve to give my patients the finest treatment possible.
How does this problem-solving model align with the steps of the evidence-based practice process?
The evidence-based practice (EBP) procedure and its problem-solving model merge seamlessly to provide systematic, high-quality care. The model stresses the need to combine clinical knowledge, research data, and patient preferences in an environment that encourages and develops these components. According to Gonzalez Sepulveda et al.’s (2023) assertions, this connection starts with cultivating an inquiry mindset. The emphasis of the approach on the use of well-designed research as the cornerstone for clinical decisions motivates physicians to always ask questions and look for the most reliable data. Encouraging an atmosphere where EBP can flourish and guaranteeing that care is always changing and getting better based on the most recent research requires this proactive approach.
The emphasis of the model on research and evidence-based theories directly supports the latter stages of the EBP process, which necessitate formulating a PICO(T) inquiry, looking for evidence, and critically evaluating that evidence. PICO(T)-formatted clinical questions allow physicians to methodically look for and select the most pertinent research and data to guide their practice (Milner et al., 2024). The model’s focus on including clinical knowledge into this approach is essential during the assessment stage since it allows practitioners to assess the relevance and caliber of the evidence in the context of their particular patient populations and healthcare environments. Through critical evaluation, providers ensure that the evidence is strong, pertinent, and useful for the specific requirements of the physician.
Making evidence-based clinical decisions requires the model’s integration of evidence with clinical knowledge and patient preferences. The phases of the EBP process, beginning with integrating evidence, assessing results, and communicating findings, are mirrored in this one. These three components, taken together, allow physicians to make well-informed choices that are both patient-specific and scientifically sound (Lichtner et al., 2023). The need for an environment and culture that promote EBP is indeed necessary to maintain these procedures over time. The last stages, assessing and sharing results, are guaranteed to be feasible and supported inside the healthcare system by this
References
Dusin, J., Melanson, A., & Mische-Lawson, L. (2023). Evidence-based practice models and frameworks in the healthcare setting: A scoping review. BMJ Open, 13(5), e071188. https://doi.org/10.1136/bmjopen-2022-071188 Links to an external site.
Gonzalez Sepulveda, J. M., Johnson, F. R., Reed, S. D., Muiruri, C., Hutyra, C. A., & Mather III, R. C. (2023). Patient-preference diagnostics: Adapting stated-preference methods to inform effective shared decision-making. Medical Decision Making, 43(2), 214–226. https://doi.org/10.1177/0272989×221115058 Links to an external site.
Law, M., & MacDermid, J. C. (2024). Introduction to evidence-based practice. In Evidence-based rehabilitation, 1–14. Routledge. https://doi.org/10.4324/9781003524106-1 Links to an external site.
Lichtner, G., Alper, B. S., Jurth, C., Spies, C., Boeker, M., Meerpohl, J. J., & von Dincklage, F. (2023). Representation of evidence-based clinical practice guideline recommendations on FHIR. Journal of Biomedical Informatics, 139, 104305. https://doi.org/10.1016/j.jbi.2023.104305 Links to an external site.
Milner, K. A., Hays, D., Farus‐Brown, S., Zonsius, M. C., Saska, E., & Fineout‐Overholt, E. (2024). National evaluation of DNP students’ use of the PICOT method for formulating clinical questions. Worldviews on Evidence‐Based Nursing, 21(2), 216-222. https://doi.org/10.1111/wvn.12709 Links to an external site.
Schmidt, N. A., & Brown, J. M. (2024). Evidence-based practice for nurses: Appraisal and application of research. Jones & Bartlett Learning. https://doi.org/10.1177/08943184231224422
